Our assessment and enhancement services can help you to respond to key industry challenges in the trade surveillance domain
Our team of subject matter experts perform assessment of your market conduct and trade surveillance framework to identify vulnerabilities and optimisation areas in governance, misconduct prevention and detection; hence enabling transformation towards a holistic and regulatory aligned approach.
We assist with investigations and lookbacks exercises to assess and mitigate potential exposures to misconduct and provide efficient and effective solutions.
Our solutions leverage advanced data analytics techniques, established frameworks and in-depth industry knowledge to ensure alignment with your strategic priorities.
Deloitte’s client was a healthcare insurance company. Healthcare insurance companies act as payers for healthcare to a range of providers, such as hospitals, clinics and pharmacies. Data transfers between providers and payers are characterized by the use of regulatory healthcare pricing models (updated annually) and the flow of both structured and unstructured data from multiple technology systems.
Deloitte assisted the client by providing insights into possible undercharging or overcharging for medical materials and services by some healthcare providers. The work involved building an Analysis Data Model (ADM) of structured and unstructured data, capable of processing the data quickly using advanced visualization dashboards to provide information and discover insights.
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